Episodic Care Manager

RN with 3 years of clinical experience or LPN with 5 years of clinical experience.

For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience.

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Registered Nurse (RN) with 3+ years of clinical experience or Licensed Practical Nurse (LPN) with 5+ years of clinical experience.

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$73,698.00 - $117,917.00

We’re hiring an Episodic Care Manager to join the Medicare Utilization Management Team!

The Episodic Care Manager is responsible for performing clinical reviews to assess, facilitate, and coordinate the delivery of health care services for members based on medical necessity and contractual benefits.

Effectively coordinate with providers, members, and internal staff to support the delivery of high quality and cost-effective care across the health care system.